Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $74.52 / $137.94	Facility		$23.05	$74.52	$137.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $14.18 / $19.09	Professional		$8.43	$14.18	$19.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $7.96 / $9.55	Professional		$7.96	$7.96	$9.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $51.11 / $167.21	Facility		$23.56	$51.11	$167.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.31 / $12.25	Professional		$3.50	$11.31	$12.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $39.24 / $72.95	Facility		$16.63	$39.24	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $18.35 / $24.41	Professional		$10.39	$18.35	$24.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $30.77 / $132.72	Professional		$16.71	$30.77	$132.72
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $20.68 / $20.68	Professional		$20.68	$20.68	$20.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $8.75 / $15.91	Professional		$6.19	$8.75	$15.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $10.67 / $18.57	Professional		$6.68	$10.67	$18.57